HomeMy WebLinkAbout08-5512Form 668 (Y)(c)
IRev. February 2004)
6152
Department of the Treasury -Internal Revenue Service
Notice of Federal Tax Lien
Area: Serial Number For Optional Use by Recording Office
SMALL BUSINESS/SELF EMPLOYED AREA #2
Lien Unit Phone: (800) 829-3903
471486208
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As provided by section 6321, 6322, and 6323 of the Internal Revenue ~~Q.~v ~~~L~(~
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Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~~ ~S"•~~,8
a demand for payment of this liability, but it remahu unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
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property belonging to this taxpayer for the amount of these taxes, and o
additional penalties, interest, and costs that may accrue.
Name of Taxpayer GARY L & MARGARET K SHIMMEL
Residence 6611 CARLISLE PIKE
MECHANICSBURG, PA 17050-1707
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 63251a).
Tax Period Date of Last Dayy for Unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/1999 XXX-XX-8510 08/15/2005 09/14/2015 8479.81
1040 12/31/2003 XXX-XX-8510 02/14/2005 03/16/2015 419.95
1040 12/31/2005 XXX-XX-8510 11/06/2006 12/06/2016 2694.48
1040 12/31/2006 XXX-XX-8510 11/05/2007 12/05/2017 11359.46
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Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total ~$ 22953.70
This notice was prepared and signed at
DETROIT, MI
the 09th day of September 2008
on this,
Signature ~ A ~yZ~~~,-~ ACS 22-00-0008
for MICHAEL W. COX (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668(Y)(c) (Rev. 2-2004)
Part 1 -Kept sY Recording Office CAT. NO 60025X